Individual provider Active NPI

Carissa Lumby, OD

  • Optometrist
  • Round Rock, TX
National Provider Identifier
1609226794
Registry record updated Aug 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8916TG Issued in TX
Practice address
7700 Cat Hollow Dr Ste 105
Round Rock, TX 78681-5797
Phone
(512) 501-2100
NPI assigned
Jun 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8916TG TX Primary

Addresses

Primary practice location

7700 Cat Hollow Dr Ste 105
Round Rock, TX 78681-5797

Mailing address

7700 Cat Hollow Dr
Ste 105
Round Rock, TX 78681-5797
Phone (512) 501-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160803002750 TX Practitioner - Optometry 6305130063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspire Vision Care, PLLCGroup PAC ID 2961697131, 4 clinicians

Practice addresses (Care Compare)

17261 Smyers LN
Suite 100
Round Rock, TX 78681-2496
Phone (512) 501-2100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8916TXMDDental Hygienist
8916TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Vision Care, PLLC Optometrist CurrentSince Jun 28, 2016 Accepting new patients

Locations

17261 Smyers Ln
Ste 100
Round Rock, TX 78681
Phone (512) 501-2100

7700 Cat Hollow Dr
Ste 105
Round Rock, TX 78681
Phone (512) 501-2100

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470960000000",
    "number": "1609226794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 CAT HOLLOW DR",
            "address_2": "STE 105",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815797",
            "telephone_number": "512-501-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 CAT HOLLOW DR STE 105",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815797",
            "telephone_number": "512-501-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUMBY",
        "first_name": "CARISSA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8916TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.